四川省绵阳市肺结核流行现状及危险因素研究

发布时间：2018-08-09 07:09

【摘要】：目的了解四川省绵阳市肺结核的流行现状,并探讨其可能的危险因素。方法选择2013年6月至2014年3月期间在"四川省绵阳市重大传染病综合防治示范研究"示范点参加健康体检的全部15岁及以上、无X线检查禁忌且愿意接受X线检查的常住居民共184 094人作为研究对象。采用问卷调查、体格检查、胸部X线检查和实验室检查等方法收集研究对象肺结核的患病情况及可能的危险因素信息,运用多因素Logistic回归模型分析肺结核的可能危险因素。结果共诊断活动性肺结核患者175例,患病率为95.06/10万;涂阳肺结核患者共32例,患病率为17.38/10万。多因素Logistic回归分析显示男性(OR=2.95,95%CI 1.99~4.37)、职业为工人或农民(OR=1.52,95%CI 1.01~2.29)、有糖尿病史(OR=3.18,95%CI 1.74~5.80)、有肺结核家族史(OR=3.45,95%CI1.09~10.86)、吸烟(OR=1.73,95%CI 1.15~2.60)、饮酒(OR=1.50,95%CI 1.01~2.24)与肺结核患病风险有关。结论四川省绵阳市肺结核患病率与全国患病率水平基本一致,男性、职业为工人或农民、有糖尿病史、有肺结核家族史、饮酒、吸烟等可能是罹患肺结核的危险因素。
[Abstract]:Objective to understand the epidemic status of pulmonary tuberculosis in Mianyang, Sichuan, and to explore the possible risk factors. Methods from June 2013 to March 2014, all the 15 years and above in the "demonstration research on comprehensive prevention and control of major infectious diseases in Mianyang city of Sichuan province" were selected, and no taboos were taboo in X - ray examination and willing to accept X - ray examination. A total of 184094 people were selected as the subjects. The prevalence and possible risk factors of pulmonary tuberculosis were collected by questionnaire, physical examination, chest X-ray examination and laboratory examination, and the possible risk factors of tuberculosis were analyzed by multifactor Logistic regression model. The result was a total of 17 patients with active tuberculosis. 5 cases, the prevalence rate of 95.06/10 million; smear positive pulmonary tuberculosis patients 32 cases, the prevalence of 17.38/10 million. Multiple factor Logistic regression analysis showed that male (OR=2.95,95%CI 1.99~4.37), occupational workers or farmers (OR=1.52,95%CI 1.01~2.29), the history of diabetes (OR=3.18,95%CI 1.74~ 5.80), the family history of tuberculosis (OR=3.45,95%CI1.09~10.86), smoking (OR=1 .73,95%CI 1.15~2.60), drinking (OR=1.50,95%CI 1.01~2.24) is associated with the risk of tuberculosis. Conclusion the prevalence rate of tuberculosis in Mianyang, Sichuan is basically the same as that of the national prevalence, men, occupational workers or farmers, the history of diabetes, the family history of tuberculosis, drinking alcohol, smoking and so on May be the risk factors for tuberculosis.
【作者单位】：四川大学华西医院呼吸与危重症医学科;绵阳市疾病预防控制中心;四川大学计算机学院;
【基金】：“十二五”国家科技重大专项(编号:2012ZX10004-901)
【分类号】：R521

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